Good Manufacturing Practice in Transfusion Medicine: Proceedings of the Eighteenth International Symposium on Blood Transfusion, Groningen 1993, organized by the Red Cross Blood Bank Groningen-Drenthe / Edition 1

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Transfusion medicine provides an excellent bridge connecting the healthy community donors with the patient's needs at the bedside; the dominant philosophy has been on patient care and science, but it is now realised that blood banks manufacture increasing amounts of blood components to administer to patients — a role analogous to manufacturing functions. The concept of Good Manufacturing Practice (GMP) is therefore relatively new. While quality has always been important, the impact of GMP, Total Quality Management (TQM) and Quality Assurance (QA) will be profound. As the regulatory agencies, like the FDA in the U.S.A. and the EEC Commission in Europe, increase their enforcement activities, doctors, technical experts and managers will have to face many issues of quality assurance including documentation, validation, audit system, regulatory laws, licensing, teaching and training of staff and their job descriptions, standards, processing facilities, procedure validations, automation, record keeping, internal and external quality control of products and their release. The expansion of this philosophy to include Good Clinical Practice (GCP) is an even greater challenge demanding consensus therapy prools and quality management of transfusion through auditing by the hospital transfusion committees. Such comprehensive plans will profoundly affect the financial and organisational structure of blood transfusion in the future.

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Table of Contents

Introduction. TQM and Taylorism; How they Compare; H. Bremer. I: Principles of Good Manufacturing Practice (GMP). State of the Art and Future Directions. A Brief Overview; H.J. Heiniger. Definitions in Quality Assurance and Quality Management; C.Th. Smit Sibinga, W.P.A. van der Tuuk Adriani. The Quality Assurance Concept; J.L. Robins. The Good Manufacturing Practice Concept; T.F. Zuck. Error Polcies and Audit Systems in Transfusion Medicine; K. Sazama. II: Legislative and Regulatory Aspects. European Community Action on Good Manufacturing Practice: Consumer Protection and Product Liability; L. Gormley. Regulatory Systems and Mechanisms; H.I. Hannema. Good Manufacturing Practice and Blood Derivatives: Requirements and Mechanisms for Product Licensing; J.M. Noel, Y. Dumas. Standards and External Quality Audit Systems; P.A. Hoppe. Blood Transfusion Committees and Other Approaches to Improving Clinical Transfusion Practice; D.B.L. McClelland. III: Processing, Manufacturing and Quality Control Aspects. Teaching and Training of Personnel: Good Manufacturing Practices; T.A. Caglioti. Good Manufacturing Practice in Transfusion Medicine: Job Descriptions and Standard Operating Procedures; B.T. Teague. Blood and Plasma Processing: Facilities and Physical Requirements; S. Arnoldussen. Documentation and Record Keeping: the Key to Compliance; D.E. Nevalainen. Validation Procedures and Internal Audit Systems; B. Cuthbertson. Quality Control and Release Procedures for Products Derived from Human Blood or Human Plasma. Application to Pasteurized Plasma; B. Flan, T. Burnouf, J.J. Huart. A Plant for the Manufacturing of Virus Inactivated Plasma According to GMP-Guidelines; B. Kerner, P. Selosse. Bar Coding in Health Care: the Needs of the Blood Banks; H. Oehlmann. IV: Good Clinical Practice (GCP). Good Clinical (Research) Practice; F. Wells. Error Policies at the Bedside. Quality Management of Blood Transfusion in Dutch Hospitals; N.S. Klazinga. Consensus Prools for Supportive Hemotherapy; J.Th.M. de Wolf. Hospital Blood Transfusion Audit Systems; A.M. Ali, B. Vander Giessen, M.A. Blajchman. Index.

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